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CAH351300-00 Tioga Medical Center (Active)
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Main Details
Name
Tioga Medical Center
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH351300-00
Medicare Provider Number
351300
Additional Details
Current Program Status
Active
Registration Date
10/8/2013
Participating Start Date
1/1/2014
Participating Approval Date
11/8/2013
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
Tioga Medical Center
Jamie Eraas, President/CEO
(701) 664-3305
Primary Contact
Tioga Medical Center
Holly Bryant, CFO
(701) 664-3305
Addresses
Street Address
810 N Welo St
Tioga, ND 58852-0159
Billing Address
Tioga Medical Center
810 N Welo St Box 159
Tioga, ND 58852
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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